HomeMy WebLinkAboutStrip driveway, grade, roll, and pave St TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3453 Contractor BOUTIN & SONS
Location 0252 FAIRVIEW DRIVE Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone ,No. (.860 )623-2526
Date Insp Needed
Time Insp Needed __- _- 'Tim6 In
Inspected By ,, H✓CYi..e
� Work in Progress
I
Input C:n, - Date
Perm-It No, :'45: Town of South IN n<jsor, , C 1,
Gate 7% '003 Stree r, L xc:avat. on r rni
Exoi rat on Dat(� 04/06/2004
Desorip :
App-�.i cunt l_ocat i on
Marne BC)UTIM & SONS 'FAIRVIEW DRIVE
Addr .. 12 i WINDSORVILLF RQAD,
BROAD BROOK: CT 06016 Typ-: <o actor(, DRIVEWAY
P1)one ( 860 )623--2526
App i icant agrees to furnish the Town of South the amount of bond
required and to reimburse -the Town cif, South Wi hds,or 'fa, any expense-3
incurred by the Town for maintenance ur repa i r ► curl: i t cc�nrlect i c.�n w i th th i s
pe rr,i i t and that app i i cam s familiar with acid W 1"11 abide by the rule:; and
regu lat 1:ins for perm i t6 as ou't] inert 'i_n the Town �pf _ South W,�ndsor ' s
Cut: Fermi 1.. Manual .
* PERMIT TO BE KEPT OW` JU3 "v1TE 'AT 1Li_. "fTMt M
Issued by — -1� --�?`1z9k- -- -- - ii- -
f-;a;_e Completed -- -- -- - �_ ._ ._ - - Al n.spected By 16e,�
4 ham` I
,APPLICATIONVFOR STREET EXCAVATION
N OF SOUTH WINDSOR PERMIT
O
PUBLIC TOWS DEPARTMENT
N HALL
1540 SULLIVAN AVENUE
SOUTH WIVDSOR, CT
FEE 25.00
Name of Firm Boutin & Sons Cons t Co
Address of Firm 121 Win s o r v i a o ahone No. 6 2 3-2 5 2 6
Location of proposed work 252 Fairview Drive
Describe fully nature of permit requested Strip Driveway gr a e
Starting date
Call before you dig no. 20031401475 Approx.time for completion
Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing To be filled out b To
PavePave-- C wn of So. Windsor
Indicate North 1
Prop.size of cut
No.cuts
Amt.of Deposit by
b
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing
Amt. Due Payee $
Applicant is responsible for contacting Amt. Due Town $
the Police Dept. and C.B.Y.D.
b date
I AGREE TP FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR TO REIMBURSE THE TOWN OF
TOWN OF SOUTH I AM S STREET CUT PERMIT MANUAL. REPAIR WORK IN CONNECTION WITH THIS
PERMITS AS OUTLINED IN THE
Signed:
Date: 4/3/0 3
Title: Secretar
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES